The one with staghorn calculus, it is dilated system with thinned cortex...can you pls explain why do we call it xanthogranulomatous pyelonephritis when renal architecture is preserved and there is no peri renal inflammation?
So the hypoenhancing areas are just reactive tissue growth inside the parenchyma. Since it is a chronic inflammation there wont be much perinephric fat stranding. Its the classical “bear paw” sign
😂😂😂😂😂😂 Spoken like a true pseudo radiologist. No radiologist ever looks at only the kidneys. Ever. Another tip. If you have nothing good to say, don’t say anything at all.